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目的:分析老年急性心肌梗死(AMI)不典型胸痛的心电图特征,提高对AMI的诊断能力。方法:分析38例老年不典型胸痛的心肌梗死心电图资料。结果:AMI不典型心电图常见于心肌梗死早期,不典型胸痛的AMI早期误诊率约为74%[1],38例中13例死亡,死亡率33%。结论:对心电图不典型的老年急性心肌梗死患者应不断动态追踪,从心电图改变及实验室检查,及时明确诊断。
Objective: To analyze the electrocardiographic features of atypical chest pain in elderly patients with acute myocardial infarction (AMI) and to improve the diagnostic ability of AMI. Methods: 38 cases of elderly patients with atypical chest pain myocardial infarction ECG data. Results: AMI atypical electrocardiogram was common in the early stage of myocardial infarction. The early misdiagnosis rate of AMI in atypical chest pain was about 74% [1]. Thirteen of 38 patients died with a mortality rate of 33%. Conclusion: Electrocardiogram atypical elderly patients with acute myocardial infarction should be continuously dynamic tracking, ECG changes and laboratory tests, the timely diagnosis.